Partial federal government shutdown
HCA does not anticipate any immediate impacts to our services or disruption to provider payments at this time. We will continue to monitor the situation and share updates if anything changes.
PEBB and SEBB open enrollment is Monday, October 27 through Monday, November 24, 2025.
Find information on the open enrollment page that’s right for you: PEBB retirees, PEBB employees and PEBB continuation coverage subscribers, and SEBB employees and SEBB continuation coverage subscribers.
Premera Blue Cross
Learn about the Premera Blue Cross (PBC) plans.
On this page: Full benefits | Summary of benefits | Costs | Find providers | Plan options | About Premera
Return to Medical plans and benefits: School employees | SEBB Continuation Coverage
Full benefits
The following documents—called a Benefits Booklet—provide in-depth descriptions of the benefits for each plan.
2026
- High PPO Benefits Booklet (2026)
- PBC HMO Benefits Booklet (2026)
- Standard PPO Benefits Booklet (2026)
2025
- High PPO Benefits Booklet (2025)
- PBC HMO Benefits Booklet (2025)
- Standard PPO Benefits Booklet (2025)
Summary of benefits
The following documents—called a Summary of Benefits and Coverage (SBC)—provide summaries of what each plan covers and what it costs.
2026
2025
Costs
2026
2025
Find providers
Visit one of Premera's online provider directories.
- High PPO and Standard PPO (Heritage Prime network)
- PBC HMO (Sherwood network)
Plan options 2026
- Premera High PPO
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The High PPO Plan comes with in-network access to over 2 million providers and hospitals nationwide. Watch a video to learn more about the High PPO plan or view the plan summary.
Annual costs
- Medical deductible: $750 per person / $1,875 family
- Prescription drug deductible: $125 per person / $312 family, waived for generic drugs
- Out-of-pocket limit: $3,500 per person / $7,000 family
Key features
- $0 preventive care
- No referrals for specialty care
- 24 annual visits each for massage, chiropractic and acupuncture
- Virtual care
- Access to 63,000 in-network pharmacies
Who should consider this plan?
This plan is great for those looking for a lower deductible and predictable office visit copays.
Available counties
In most cases, you must live or work in the medical plan's service area to join the plan. All school employees are offered a selection of plans based on their county of residence or the county where their employment location is based. Some school employees may have more plan options if they work in a district that crosses county lines.
You can choose this plan if you live or work in one of these counties:
- Adams
- Asotin
- Benton
- Chelan
- Columbia
- Cowlitz
- Ferry
- Franklin
- Garfield
- Grant
- King
- Kitsap
- Kittitas
- Lewis
- Lincoln
- Okanogan
- Pend Oreille
- Pierce
- Skagit
- Skamania
- Spokane
- Stevens
- Thurston
- Wahkiakum
- Walla Walla
- Whatcom
- Whitman
- Yakima
If you move out of your plan's service area or change jobs to a different employment location, and your plan is no longer available, you must select a new plan. If you do not, the SEBB Program will enroll you in one. You must report your new address and any request to change your medical plan no later than 60 days after your move.
- PBC HMO
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PBC HMO is an even more member-centered health plan option for residents of select counties in Washington state. It offers a more accessible, lower-cost alternative for those looking for a full-service health plan. This plan is aimed at building a closer relationship between you and your primary care provider. Watch a video to learn more or view the Plan summary.
Annual costs
- Medical deductible: $750 per person /$1,500 family
- Prescription drug deductible: none
- Out-of-pocket limit: $3,500 per person / $7,000 family
Key features
- $0 preventive care
- Behavioral health benefits (in-person and virtual)
- Referrals required for specialty care and some specialty prescriptions
- 24 annual visits each for massage, chiropractic, acupuncture
- Virtual care
- Access to high-quality doctors and hospitals, including some of the largest provider groups in select counties in Washington.
Who should consider this plan?
This is a plan for the busy bees who don’t have time to deal with paperwork and phone calls. It saves you money and time spent pinpointing conditions and finding specialty care on your own. If you’re looking for something easy, hassle-free, digital first, and transparently honest, and you’re sick of self-diagnosing yourself on the internet, this plan might be for you.
Available counties
In most cases, you must live or work in the medical plan's service area to join the plan. All school employees are offered a selection of plans based on their county of residence or the county where their employment location is based. Some school employees may have more plan options if they work in a district that crosses county lines.
You can choose this plan if you live or work in one of these counties:
- King
- Pierce
- Spokane
- Thurston
If you move out of your plan's service area or change jobs to a different employment location, and your plan is no longer available, you must select a new plan. If you do not, the SEBB Program will enroll you in one. You must report your new address and any request to change your medical plan no later than 60 days after your move.
- Premera Standard PPO
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Premera’s Standard PPO Plan comes with in-network access to over 2 million providers and hospitals nationwide. Watch a video to learn more about the Standard PPO plan or view the Plan summary.
Annual costs
- Medical deductible: $1,250 per person / $3,125 family
- Prescription drug deductible: $250 per person / $750 family, waived for generic drugs
- Out-of-pocket limit: $5,000 per person / $10,000 family
Key features
- $0 preventive care
- Virtual care
- No referrals for specialty care
- 24 annual visits each for massage, chiropractic, acupuncture
- Access to 63,000 in-network pharmacies
Who should consider this plan?
This plan is great for those looking for a lower employee monthly premium and predictable office visit copays.
Available counties
In most cases, you must live or work in the medical plan's service area to join the plan. All school employees are offered a selection of plans based on their county of residence or the county where their employment location is based. Some school employees may have more plan options if they work in a district that crosses county lines.
You can choose this plan if you live or work in one of these counties:
- Adams
- Asotin
- Benton
- Chelan
- Columbia
- Cowlitz
- Ferry
- Franklin
- Garfield
- Grant
- Grays Harbor
- King
- Kitsap
- Kittitas
- Lewis
- Lincoln
- Okanogan
- Pacific
- Pend Oreille
- Pierce
- Skagit
- Skamania
- Snohomish
- Spokane
- Stevens
- Thurston
- Wahkiakum
- Walla Walla
- Whatcom
- Whitman
- Yakima
If you move out of your plan's service area or change jobs to a different employment location, and your plan is no longer available, you must select a new plan. If you do not, the SEBB Program will enroll you in one. You must report your new address and any request to change your medical plan no later than 60 days after your move.
Plan options 2025
- Premera High PPO
-
The High PPO Plan comes with in-network access to over 2 million providers and hospitals nationwide. Watch a video to learn more about the High PPO plan or view the plan summary.
Annual costs
- Medical deductible: $750 per person / $1,875 family
- Prescription drug deductible: $125 per person / $312 family, waived for generic drugs
- Out-of-pocket limit: $3,500 per person / $7,000 family
Key features
- $0 preventive care
- No referrals for specialty care
- 24 annual visits each for massage, chiropractic and acupuncture
- Virtual care
- Access to 63,000 in-network pharmacies
Available counties
In most cases, you must live or work in the medical plan's service area to join the plan. All school employees are offered a selection of plans based on their county of residence or the county where their employment location is based. Some school employees may have more plan options if they work in a district that crosses county lines.
You can choose this plan if you live or work in one of these counties:
- Adams
- Asotin
- Benton
- Chelan
- Columbia
- Cowlitz
- Ferry
- Franklin
- Garfield
- Grant
- King
- Kitsap
- Kittitas
- Lewis
- Lincoln
- Okanogan
- Pend Oreille
- Pierce
- Skagit
- Skamania
- Spokane
- Stevens
- Thurston
- Wahkiakum
- Walla Walla
- Whatcom
- Whitman
- Yakima
If you move out of your plan's service area or change jobs to a different employment location, and your plan is no longer available, you must select a new plan. If you do not, the SEBB Program will enroll you in one. You must report your new address and any request to change your medical plan no later than 60 days after your move.
Who should consider this plan?
This plan is great for those looking for a lower deductible and predictable office visit copays.
- Premera HMO
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The Premera HMO provides in-network access to over 22,000 health care providers, including 28 hospitals, dozens of urgent care, primary care, and specialty care clinics. The growing network includes: EvergreenHealth, MultiCare Health System, Kinwell (primary care clinics), Mary Bridge Children's Hospital, Shriners Hospital for Children, Seattle Children's, and Virginia Mason. There is no out-of-network coverage except for urgent and emergency care (covered nationwide). Watch a video to learn more about Premera HMO or view the Plan summary.
Annual costs
- Medical deductible: $750 per person /$1,500 family
- Prescription drug deductible: none
- Out-of-pocket limit: $3,500 per person / $7,000 family
Key features
- $0 preventive care
- Referrals required for specialty care and some specialty prescriptions
- 24 annual visits each for massage, chiropractic, acupuncture
- Virtual care
- Access to 1,300 in-network pharmacies in Washington.
Available counties
In most cases, you must live or work in the medical plan's service area to join the plan. All school employees are offered a selection of plans based on their county of residence or the county where their employment location is based. Some school employees may have more plan options if they work in a district that crosses county lines.
You can choose this plan if you live or work in one of these counties:
- King
- Pierce
- Spokane
- Thurston
If you move out of your plan's service area or change jobs to a different employment location, and your plan is no longer available, you must select a new plan. If you do not, the SEBB Program will enroll you in one. You must report your new address and any request to change your medical plan no later than 60 days after your move.
Who should consider this plan?
This plan is great for those who want the lowest cost monthly premium available and low out-of-pocket costs.
- Premera Standard PPO
-
Premera’s Standard PPO Plan comes with in-network access to over 2 million providers and hospitals nationwide. Watch a video to learn more about the Standard PPO plan or view the Plan summary.
Annual costs
- Medical deductible: $1,250 per person / $3,125 family
- Prescription drug deductible: $250 per person / $750 family, waived for generic drugs
- Out-of-pocket limit: $5,000 per person / $10,000 family
Key features of the plan
Best-in-class customer service, 24-hour virtual care, $0 preventive care, no referrals for specialty care, 24 annual visits each for massage, chiropractic, acupuncture, and access to 63,000 in-network pharmacies.
Available counties
In most cases, you must live or work in the medical plan's service area to join the plan. All school employees are offered a selection of plans based on their county of residence or the county where their employment location is based. Some school employees may have more plan options if they work in a district that crosses county lines.
You can choose this plan if you live or work in one of these counties:
- Adams
- Asotin
- Benton
- Chelan
- Columbia
- Cowlitz
- Ferry
- Franklin
- Garfield
- Grant
- Grays Harbor
- King
- Kitsap
- Kittitas
- Lewis
- Lincoln
- Okanogan
- Pacific
- Pend Oreille
- Pierce
- Skagit
- Skamania
- Snohomish
- Spokane
- Stevens
- Thurston
- Wahkiakum
- Walla Walla
- Whatcom
- Whitman
- Yakima
If you move out of your plan's service area or change jobs to a different employment location, and your plan is no longer available, you must select a new plan. If you do not, the SEBB Program will enroll you in one. You must report your new address and any request to change your medical plan no later than 60 days after your move.
Who should consider this plan?
This plan is great for those looking for a lower employee monthly premium and predictable office visit copays.
About Premera Blue Cross
Premera Blue Cross has provided health plans to school employees across the state since 1962. Premera is headquartered in Washington State and provides health benefits to 2.5 million people nationwide. Our SEBB plans are designed with school employees in mind and are backed by best-in-class customer service and the Blue Cross Blue Shield Association. Premera Blue Cross HMO (PBC HMO) is a separate and distinct company within the Premera family of businesses. PBC HMO only offers HMO plans to Washington residents living or working in select counties. Premera Blue Cross does not offer HMO plans.
Enroll or make changes
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Contact information
Premera
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Phone1-800-807-7310
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TRS711
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Monday through Friday
5 a.m. to 8 p.m. (Pacific)